Imaging Center At Wolf Creek Llc

NPI 1285629097 - Clinic/Center - 261Q00000X

NPI Details
NPI 1285629097
Enumeration Date 09/19/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEVEN MICHAEL STEVEN
Position MANAGING MEMBER
Phone (618) 277-7912
Fax (618) 277-7915
Practice Location
12 WOLF CREEK DR
SWANSEA IL, 62226-2343, US
Phone (618) 277-7912
Fax (618) 277-7915
Business Location
PO BOX 868
EDWARDSVILLE IL, 62025-0868, US
Phone (618) 659-1167
Fax (618) 659-1197
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Imaging Center At Wolf Creek Llc NPI is 1285629097, taxonomy code is 261Q00000X Imaging Center At Wolf Creek Llc physically located at 12 Wolf Creek Dr, Swansea IL, 62226-2343. NPI Number 1033115704 has the healthcare provider type.

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1285629097 NPI number is provided on an as is basis without warranty of any kind. 1285629097 is maintained by the National Plan & Provider Enumeration System. The contents of Imaging Center At Wolf Creek Llc are for informational purposes only.